Organization · Type 2 NPI

Banner Desert Medical Center

Prosthetic/Orthotic Supplier · Mesa, AZ

NPI number 1174660435 Active

Practice location

1400 S Dobson Rd, Oncology Gift Shop, Room 1053
Mesa, AZ 85202-4707

Call (480) 412-5959 Map

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

225 other providers at this address

Other prosthetic/orthotic supplier providers in Mesa

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NPI record

NPI: 1174660435
Entity type: Organization (Type 2)
Issued: Jan 30, 2007
Last updated: Dec 23, 2021
Status: Active
Subpart: Yes of Banner Health

Other names

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Jewels Garden Oncology Boutique · doing business as
Jewels Garden Oncology Boutique · doing business as

Authorized official

Mr. Dennis Laraway
CFO
(602) 747-4000

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About NPI 1174660435

Banner Desert Medical Center's National Provider Identifier is 1174660435, issued on Jan 30, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mesa, AZ. The record was last updated on Dec 23, 2021.